Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Health Status Review Modified 9700 7275 0 Form and Instruction PC-1789 Health Status Review
Report of Dental Examination Removed 0 0 0 Form and Instruction PC-1790 Report of Dental Examination
Report of Medical Examination Modified 5000 3750 260000 Form and Instruction PC-1790S Report of Medical Examination
Total burden requested under this ICR: 14700 11025 260000  
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